Organization Active NPI

Plantsville Pharmacy Inc

  • Community/Retail Pharmacy
  • Plantsville, CT
National Provider Identifier
1811933617
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0000378 Issued in CT
Legal business name
PLANTSVILLE PHARMACY INC
Practice address
1 W Main St
Plantsville, CT 06479-1522
Phone
(860) 628-2385
Fax
(860) 628-2475
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Potrepka, BS RPH
Title
President / MGR/ Pharmacist/ Owner
Phone
(860) 628-2385

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0000378 CT Primary

Addresses

Primary practice location

1 W Main St
Plantsville, CT 06479-1522

Mailing address

1 W Main St
Plantsville, CT 06479-1522
Phone (860) 628-2385

Other identifiers 2

IdentifierTypeStateIssuer
1998099OtherPK
4027918MedicaidCT

Other names 1

  • PLANTSVILLE PHARMACY INC. Doing business as

National Provider Directory

National Provider Directory

Locations

1 W Main St
Plantsville, CT 06479
Phone (860) 628-2382

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1811933617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791522",
            "telephone_number": "860-628-2385",
            "fax_number": "860-628-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791522",
            "telephone_number": "860-628-2385",
            "fax_number": "860-628-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "POTREPKA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT / MGR/ PHARMACIST/ OWNER",
        "authorized_official_telephone_number": "860-628-2385",
        "authorized_official_credential": "BS RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "0000378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998099",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4027918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLANTSVILLE PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLANTSVILLE PHARMACY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.